SCAN Classic Riverside County, CA Medicare Advantage Plan

CMS Rating:SCAN Classic, a 2014 Medicare Advantage plan for Riverside County, CA seniors, has an average CMS rating of 4.0 out of 5 stars.
Plan Year:2014
Monthly Premium:$0.00
Includes Part D:Yes
Part D Deductible:$0.00
Mail Order Pharmacy:No
Part D Gap Coverage:Many Generics
Plan ID:H5425-008
For Residents Of:Riverside County, CA
Plan Brochure:SCAN Classic Medicare Advantage plan Summary of Benefits for Riverside County, CA
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Medicare Advantage Plan Summary & Benefits

SCAN Classic Medicare Advantage Plan for Riverside County, California seniors on Medicare.SCAN Classic (H5425-008), Health Maintenance Organization Advantage Plan, Riverside County, CA by SCAN Health Plan

SCAN Classic is a Health Maintenance Organization (HMO) health insurance plan for seniors and other people with Medicare living in Riverside County, California. It includes all of the benefits of Original Medicare and may include prescription drug coverage and other extras. The primary benefit of an HMO is that the out-of-pocket costs are lower and more predictable than with other types of plans. The monthly premium is $0.00.

Please note: You must use plan providers to avoid incurring additional costs. You will be responsible for the costs of out of network care. Referrals may be required for all but primary care physician visits.

Maximum Out-of-Pocket (MOOP) Expense

The new healthcare law allows for a maximum limit of $6,700 on your out of pocket medical costs for 2014 Medicare Advantage plans. This amount is commonly called the plan MOOP (Maximum Out of Pocket). A plan's MOOP does not include your prescriptions or the monthly premiums you pay for your health plan.

Although the mandatory MOOP limit is $6,700, the Affordable Care Act law allows for a “Voluntary MOOP” that can be as low as $3,400. The MOOP on this plan is $3,400. You need to take this figure into as much consideration as the premiums and the co-payments.

If you are comparing this Medicare Advantage plan with your Original Medicare benefits, take into consideration that the government does not have out-of-pocket limits on Medicare Parts A and B. With traditional Medicare the only way to protect yourself is to purchase a Medigap insurance policy to supplement your coverage.

CMS 5-Star Rating

After its first year on the market, each Medicare Advantage plan receives a one to five star rating from the Centers for Medicare and Medicaid Services (CMS). The relative quality assessment of health insurance by CMS assists people who are considering enrollment. Plans with five stars represent the highest quality, whereas a one star plan has the worst quality.

The SCAN Classic Medicare Advantage plan has received a 4.0 out of 5 star average rating. Overall, CMS considers this plan to be Above Average (as of 15 October, 2013).

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SCAN Classic Availability

SCAN Classic is available in Rancho Mirage, Wildomar, Riverside, Whitewater, Calimesa, Mecca, Lake Elsinore, Indian Wells, Indio, Perris, Coachella, Homeland, San Jacinto, Aguanga, Mira Loma, Hemet, Moreno Valley, Temecula, Thousand Palms, Thermal, Norco, March Air Reserve Base, La Quinta, Menifee, Anza, Cathedral City, Nuevo, Desert Center, Murrieta, Palm Springs, Desert Hot Springs, Winchester, Palm Desert, Blythe, Beaumont, Corona, Sun City, Mountain Center, Cabazon, Banning, North Palm Springs, Idyllwild, Quail Valley, and all other locations in Riverside County.

This page was last updated on: 8/18/2014